| NPI | 1619397247 |
|---|---|
| Doing Business As | VITALOGY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | FARAH TAJ SULTAN Owner/Medical Director 205-413-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL AL24915) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |